Esophageal reconstruction with interposition of transverse colon was performed in 24 children from 1971 to 1992. The results were evaluated from questionaire, clinical interview, barium swallowing, manometric and radioisotopic test. The complications and the functional status of the gastrointestinal tract were studied and discussed. The follow up showed the growth and developmenlt of the children were satisfactory, the results were good to excellent in 89.5 per cent. If necessary, pyloromyotomy should be chosen instead of other methods of pyloroplasty. Compairing the three routes of colon reconstruction, the esophageal bed route had an excellent clinical result.